Evidence map›Paper›PMID 37010609›Full record

ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2023

Intermittent pedicle screw application provides better kyphosis restoration in adolescent idiopathic scoliosis for Lenke type 1 and type 2 curves.

Alim Can Baymurat, Aliekber Yapar, Omer Faruk Kilicaslan, Mehmet Ali Tokgoz, Huseyin Selcuk, Semih Yas, Alpaslan Senkoylu

Abstract read
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In one paragraph

Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Alim Can BaymuratDepartment of Orthopaedics and Traumatology, Gazi University Medical Faculty, Ankara, Turkey.ORCID http://orcid.org/0000-0002-0062-621X
Aliekber YaparDepartment of Orthopaedics and Traumatology, Antalya Education and Research Hospital, Health Sciences University, Antalya, Turkey.ORCID http://orcid.org/0000-0003-2227-2173
Omer Faruk KilicaslanDepartment of Orthopaedics and Traumatology, Antalya Education and Research Hospital, Health Sciences University, Antalya, Turkey.ORCID http://orcid.org/0000-0001-6716-4542
Mehmet Ali TokgozDepartment of Orthopaedics and Traumatology, Gazi University Medical Faculty, Ankara, Turkey.ORCID http://orcid.org/0000-0002-4056-3743
Huseyin SelcukDepartment of Orthopaedics and Traumatology, Antalya Education and Research Hospital, Health Sciences University, Antalya, Turkey.ORCID http://orcid.org/0000-0002-5281-6429
Semih YasDepartment of Orthopaedics and Traumatology, Gazi University Medical Faculty, Ankara, Turkey.ORCID http://orcid.org/0000-0001-7823-3400
Alpaslan SenkoyluDepartment of Orthopaedics and Traumatology, Gazi University Medical Faculty, Ankara, Turkey. drsenkoylu@gmail.com.ORCID http://orcid.org/0000-0001-6870-5515
Gazi University · TRSağlık Bilimleri Üniversitesi · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThere is still no consensus on the optimum pedicle screw density required for the desired thoracic kyphosis restoration in adolescent idiopathic surgery (AIS). The aim of this study to evaluate the effect of pedicle screw density on thoracic kyphosis restoration in AIS surgery.

methodsThe data of 106 patients from two centers that operated for Lenke type 1 and 2 AIS were retrospectively reviewed. Two groups were constituted according to the pedicle screw density: intermittent pedicle screw constructs (IPSC) (n = 52 patients) and consecutive pedicle screw construct (CPSC) (n = 54 patients) groups. The preoperative and at least 24-month follow-up radiographs and SRS-22 scores were evaluated. The Cobb angle of the main and concomitant curves in the coronal plane and the sagittal plane were measured and compared.

resultsThe mean follow-up period for the IPSC and CPSC groups was 72.3 ± 37.2 and 62.9 ± 28.8 months, respectively. In the SRS-22 questionnaire, there was no significant difference between the two groups in terms of self-image/appearance domain scores (p = 0.466), but better results were obtained in the IPSC group in terms of treatment satisfaction domain scores (p = 0.010) and better thoracic kyphosis restoration was achieved in IPSC group radiologically for Lenke type 1 curves with - 81.4 ± 81.4% in the IPSC group and 6.8 ± 83.8% in the CPSC group (p < 0.001).

conclusionIt was considered that better thoracic kyphosis restoration could be achieved with the less lordotic effect of IPSC in Lenke type 1 curves. Although the current situation had a significant impact on radiological outcomes, its effect on SRS-22 scores was limited.

Indexed as

KyphosisPedicle ScrewsScoliosisSpinal FusionAdolescentFollow-Up StudiesHumansRetrospective StudiesThoracic VertebraeTreatment OutcomeAdolescent idiopathic scoliosisConsecutive pedicle screwIntermittent pedicle screwPedicle screw densityThoracic kyphosis restoration

Identifiers

PMID37010609
OpenAlexW4362505695

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.